File:Tri-State medical journal and practitioner (1897) (14591824238).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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to neglect the lesion as he did. As a result of this care-lessness and inattention on his part, phagedena soon set in and spread withfrightful rapidity. It did not limit itself to the external parts, but madeits way into the urethra and thence to the bladder. The sufferings under-gone by the patient are simply indescribable. In about a week he was dead,and a post-mortem examination showed that there had been perforation ofthe bladder of very recent date, as a peritonitis had not established itself.Such cases are certainly rare, but are illustrative of the serious naturewhich phagedenic chancroid may assume under circumstances favorable tothe process. They further show the absolute and great danger which mayattend an apparently simple sore which is neglected. The most extensivechancroid, phagedenic in character, which I have ever seen, was one in anegro which involved the entire abdomen and the thighs. He was a hos-pital patient and was fortunate enough to be cured, at the cost of much
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Fig. r. Multiple Chancroids—Phagedena beginning. suffering and the loss of nearly all of the skin which was implicated. Aportion of the integument was replaced by skin grafts, the remaindercicatrizing. The appearance of a phagedenic chancroid is clearly indicative ofthe condition present. The affected area has a worm-eaten floor, the de-struction is deep, and the edges are undermined. In Figure 1 is given apicture of multiple chancroids beginning to take on a phagedenic charac-ter. The edges of the lesions are still somewhat regular in form, and therecan already be seen evidence of the tendency of the lesions to join oneanother, the intervening bridge of sound tissue breaking down and ulcer-ating. The patient in this case made a comparatively rapid recovery, asthe destruction had not yet become extensive or very deep. The troublebeing Comparatively in its inceptive stage, there was out little difficulty ex-perienced in jugulating it. In some cases the tissues look not only worm-eate

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